Feeding and eating disorders in children and adolescents during the COVID-19 pandemic: real-word data from an observational, naturalistic study.

Autor:	Pruccoli J; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Rosa S; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Chiavarino F; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Cava M; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Gazzano A; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Gualandi P; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy., Marino M; Center for Chronic Intestinal Failure - Clinical Nutrition and Metabolism Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Moscano F; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy., Rossi F; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy., Sacrato L; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy., Salce B; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Santini M; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy., Valeriani B; Center for Chronic Intestinal Failure - Clinical Nutrition and Metabolism Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Cordelli DM; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy., Parmeggiani A; IRCCS Institute of Neurological Sciences, Unit of Pediatric Neuropsychiatry, Centro Regionale per i Disturbi della Nutrizione e dell'Alimentazione in Età Evolutiva, Bologna, Italy - antonia.parmeggiani@unibo.it.; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
Jazyk:	angličtina
Zdroj:	Minerva pediatrics [Minerva Pediatr (Torino)] 2024 Sep 25. Date of Electronic Publication: 2024 Sep 25.
DOI:	10.23736/S2724-5276.24.07199-4
Abstrakt:	Background: The COVID-19 pandemic had a substantial impact on the mental health of children and adolescents. The literature lacks large-scale research evaluating its consequences on teenagers with feeding and eating disorders (FED). This study aims to assess the impact of the COVID-19 pandemic on a population of patients of developmental age. Methods: This single-center observational study compares two historical cohorts of children and adolescents diagnosed with FED, with a first consultation before (1 st March 2018 to 31 st October 2019) and during (1 st March 2020 to 31 st October 2021) pandemic. Demographic, clinical, nutritional, and treatment variables were assessed. Results: We enrolled 479 patients (F=398, 83.1%), including 205 (F=161, 78.5% mean age 14.5±2.5, range 7.9-17.9 years) belonging to the first historical cohort and 274 (F=237, 86.5%; 14.4±2.1, range 6.5-17.9) to the second one (+33.7%). Increased mean new accesses/month (P=0.042) and a greater percentage of females (P=0.042) during the pandemic compared to the pre-pandemic period emerged. Physical hyperactivity (P=0.022) and suicidal behaviors (P=0.030) increased, while fewer patients required hospitalization (P=0.013). Conclusions: An increase in first visits for FED after the COVID-19 pandemic emerged, with females being the most affected. Physical hyperactivity and self-harming behaviors were intensified, while patients in need of hospitalization were reduced. Longitudinal studies are required.
Databáze:	MEDLINE
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